Provider Demographics
NPI:1285230367
Name:A&A HEALTHCARE CENTER CORP
Entity Type:Organization
Organization Name:A&A HEALTHCARE CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERICH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFONSO-BARRATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-632-7985
Mailing Address - Street 1:55 SW 9TH ST APT 4409
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-4516
Mailing Address - Country:US
Mailing Address - Phone:305-632-7985
Mailing Address - Fax:
Practice Address - Street 1:2255 GLADES RD STE 324A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-8571
Practice Address - Country:US
Practice Address - Phone:305-632-7985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-05
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center